Providence St Luke's Rehabilitation Medical Center
711 S Cowley St, Spokane, WA · Providence · · NPI 1497752091
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $424.24 – $466.66 | 5 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $424.24 – $466.66 | 5 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $14.72 | 5 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $17.03 – $18.73 | 5 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $35.09 – $38.60 | 5 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $150.93 – $150.93 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $18.90 | $27.00 | $3.43 – $3.77 | 5 |
| Bowel imaging CPT 78290 | not published | not published | $109.87 – $490.03 | 5 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $199.18 – $219.10 | 5 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $651.75 – $716.92 | 5 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $317.49 – $349.24 | 5 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $700.65 | 5 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,007.37 – $1,108.11 | 5 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $138.20 – $152.02 | 5 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $113.11 – $124.42 | 5 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $80.97 – $89.07 | 5 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $112.48 – $123.73 | 5 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $140.66 – $154.73 | 5 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $406.45 – $447.10 | 5 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $340.25 – $374.28 | 5 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $493.08 – $542.39 | 5 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,782.97 – $1,961.27 | 5 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,166.60 – $2,383.26 | 5 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $351.28 – $386.41 | 5 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,231.38 – $1,354.52 | 5 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,098.83 – $1,208.71 | 5 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $347.63 – $382.39 | 5 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $107.96 – $118.76 | 5 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,750.39 – $3,025.43 | 5 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $573.13 – $630.44 | 5 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $698.63 – $768.49 | 5 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $165.77 – $182.35 | 5 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $455.16 – $500.68 | 5 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $975.43 – $1,072.97 | 5 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $131.01 – $144.11 | 5 |
| Brace m arm board HCPCS L3809 | not published | not published | $272.97 – $300.27 | 5 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,348.20 – $1,483.02 | 5 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,192.99 – $1,312.29 | 5 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $272.97 – $300.27 | 5 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $63.92 – $70.31 | 5 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $89.82 – $98.80 | 5 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,236.85 – $3,560.54 | 5 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $764.72 – $764.72 | 1 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $880.18 – $880.18 | 1 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $1,046.75 – $1,046.75 | 1 |
| Brach/thor cath addl CPT 36218 | not published | not published | $168.51 – $168.51 | 1 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $38.79 | 5 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $36.64 – $40.30 | 5 |
| Brachy source palladium HCPCS C2640 | not published | not published | $88.26 – $97.09 | 5 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $64.48 – $70.93 | 5 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $17,771.01 – $19,548.11 | 5 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $109.78 | 5 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $357.49 – $393.24 | 5 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $131.02 | 5 |
| Brachytx isodose complex CPT 77318 | not published | not published | $417.24 – $458.97 | 5 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $309.15 – $458.97 | 5 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $236.80 – $458.97 | 5 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $192.94 | 5 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $4,426.89 – $4,426.89 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $3,860.30 – $3,860.30 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $49.14 – $665.56 | 5 |
| Brain image < 4 views CPT 78600 | not published | not published | $73.12 – $490.03 | 5 |
| Brain image 4+ views CPT 78605 | not published | not published | $87.03 – $665.56 | 5 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $81.24 – $490.03 | 5 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $102.11 – $665.56 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $294.41 – $427.64 | 5 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $195.75 – $427.64 | 5 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $196.93 – $292.47 | 5 |
| Brain MRI (with and without contrast) CPT 70553 | $1,678.32 | $2,397.60 | $374.48 – $427.64 | 5 |
| Brain MRI (with contrast) CPT 70552 | $1,401.12 | $2,001.60 | $292.09 – $427.64 | 5 |
| Brain MRI (without contrast) CPT 70551 | $1,304.10 | $1,863.00 | $241.79 – $292.47 | 5 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $50.52 – $55.57 | 5 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $514.80 | 5 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $642.65 | 5 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $301.87 – $412.78 | 5 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $331.49 | 5 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $311.17 | 5 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $203.63 | 5 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $301.87 – $412.78 | 5 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $311.17 | 5 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $484.00 | 5 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,824.88 – $2,007.37 | 5 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $9,107.97 – $10,018.77 | 5 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $1,840.45 – $2,024.49 | 5 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $789.10 – $868.01 | 5 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $15,356.73 – $16,892.40 | 5 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $5,820.89 – $5,820.89 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,130.17 – $5,130.17 | 1 |
| Breast reduction CPT 19318 | not published | not published | $7,399.43 – $8,139.38 | 5 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $33.26 – $264.67 | 5 |
| Breathing response hypoxia CPT 94450 | not published | not published | $65.37 – $157.72 | 5 |
| Breath recording infant CPT 94772 | not published | not published | $415.83 – $457.41 | 5 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $103.85 | 5 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $12.17 | 5 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $268.73 – $295.60 | 5 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $435.84 – $479.42 | 5 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $222.47 – $222.47 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $4,154.66 – $4,570.13 | 5 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $4,154.66 – $4,570.13 | 5 |
| Bronchial allergy tests CPT 95070 | not published | not published | $415.83 – $457.41 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.